  ~ 

BLACKWELL'^S   ISLAND  HOSPITALS; 

'    - .  NEW  YORK  CITY,  N.  Y. 


ffHE  REPORT 

OF  THB 

RESIDENT  PHYSICIAN 

OF 

BLACK  WELL'S  ISLAND 


FOR  THE  YEAR  1858. 


NEW  YORK: 

1859. 


lEx  ICtbrtB 


SEYMOUR  DURST 


When  you  leave,  please  leave  this  book 

Because  it  has  been  said 
"Sver'thing  comes  t'  bim  who  waits 

Except  a  loaned  book." 


Avery  Architectural  and  Fine  Arts  Library 
Gift  of  Seymour  B.  Durst  Old  York  Library 


REPORT 


OF  THE 


lesiaxnt  ||j)skian  of  SlathtotH's  fslatifo 


TO  THE 


GOVERNORS  OF  THE  ALMS  HOUSE, 


ON  THE 


SEVERAL  HOSPITALS  UNDER  HIS  CHARGE, 


FOK  TUK  YEAR  *  S.jS. 


NEW  YORK. 

1859. 


BLACKW ELL'S  ISLAND  HOSPITALS. 


Kesident  Physician's  Office, 

Blackwell's  Island, 

January  1,  1859. 

To  the  Governors  of  the  Alms  House: 

Gentlemen, — I  have  the  pleasure  to  submit  here- 
with the  Medical  and  Statistical  Reports  of  the  various  de- 
partments under  mj  charge,  during  the  year  1858,  in- 
cluding the  Island  Hospital,  Small  Pox  Hospital, 
Alms  House,  Work  House,  and  Penitentiary,  and  I 
gladly  avail  myself  of  the  opportunity  to  congratulate 
your  Honorable  Board  on  the  continued  healthfulness  of 
the  institutions  on  Blackwell's  Island. 

ISLAND  HOSPITAL. 

The  year  1858  will  long  be  a  memorable  one  in  the  an- 
nals of  this  hospital.  In  the  early  part  of  February  fur- 
ther action  was  taken  on  the  proposition  mentioned  in  my 
last  report,  and  a  series  of  resolutions  were  adopted  which, 
although  not  so  complete  as  could  be  desired,  practically 
severed  this  medical  institution  from  the  adjacent  punitive 
establishments,  and  formally  declared  a  plan  by  which  the 


4 

suffering  poor  of  New  York  could  obtain  professional  re- 
lief without  undergoing  the  preliminary  torture  of  a  va- 
grancy commitment.  Such  action  deserves  the  acknowl- 
edgments of  all  who  feel  an  interest  in  the  sick  poor, 
especially  when  considered  as  the  precursor  of  more  effect- 
ual measures  for  extending  the  efficiency  and  removing  the 
restrictions  of  the  Island  Hospital  of  Blackwell's  Island. 

But  the  ink  with  which  your  resolutions  were  written 
was  scarcely  dry  when  an  accident  entirely  destroyed  the 
building.  I  need  not  recount  the  particulars  of  the  fire  of 
February  13,  1858,  that  in  less  than  four  hours  reduced 
to  a  pile  of  smoking  ruins  the  edifice  which  on  the  previous 
night  had  been  the  home  of  nearly  six  hundred  persons. 
The  investigations  ordered  by  your  Honorable  Board, 
and  the  general  publicity  given  to  the  event  at  the  time, 
render  minute  details  unnecessary.  But  I  should  not  dis- 
charge my  duty  if  I  omitted  to  tender  my  thanks  for  the 
promptitude  evinced  in  finding  temporary  accommodations 
for  the  patients,  and  the  kindness  displayed  by  yourselves 
and  the  heads  of  departments  and  officers  on  the  Island. 
Your  sympathy  and  assistance  to  myself  and  family  at  the 
time  of  the  fire  and  subsequently  thereto  is  thoroughly  ap- 
preciated, and  will  be  gratefully  remembered. 

During  the  year  1858  the  total  number  of  admissions  to 
the  Island  Hospital  was  4,141 


5 


The  admissions  during  1857  were  2,810 

1856    "   1,733 

"     1855    "   2,158 

"     1854    "   3,744 

"     1853    "   3,136 


The  increase  of  admissions  in  1858  as  compared  with  1857 
was  1,331,  or  47 T\  per  cent.  As  compared  with  the  average 
of  the  preceding  five  years,  the  increase  is  1,425,  or  52T4„ 
per  cent.  The  total  number  of  patients  under  treatment 
in  1858  was  4,676,  against  3,158  treated  in  1857,  or  2,083 
treated  in  1856, — an  increase  of  1,  418on  the  one,  and  2,593 
on  the  other  year. 

The  annexed  tables  are  constructed  on  the  same  model 
as  those  submitted  last  year.  The  first  or  large  table 
gives  a  succinct  account  of  the  sickness  treated  in  the 
Island  Hospital,  each  line  being  a  complete  history  of  the 
malady  to  which  it  is  devoted,  so  far  as  the  number,  sex, 
age,  education  and  nativity  of  patients,  and  the  result  and 
duration  of  treatment,  are  concerned.  It  is,  in  short,  an 
epitomised  record  of  the  year's  medical  business. 

The  "  Comparative  Statement ;'  is  worthy  your  consider- 
ation. I  have  hitherto  availed  myself  of  my  annual  report 
to  give  prominence  to  the  statistics  of  Venereal  disease,  and 
the  figures  now  presented  bear  a  mournful  aspect,  show- 
ing but  a  slight  diminution  of  the  ratio  reported  in  1857. 


6 


Of  the  total  number  of  patients  under  treatment,  63T7o  per 
cent,  received  medical  assistance  for  Venereal  affections. 
In  1857  the  proportion  was  65TVper  cent.,  and  in  1856  it 
was  73  T\  per  cent.  I  explained  last  year  that  the  large 
increase  of  patients  laboring  under  other  diseases  made 
"  the  decrease  of  Venereal  affections  apparent  and  not 
real,"  and  in  the  present  instance,  notwithstanding  the 
slightly  reduced  proportions,  it  would  be  contrary  to  the 
fact  to  infer  that  Syphilis  is  decreasing.  It  is  steadily  ad- 
vancing, and  will  continue  to  advance  until  effective  meas- 
ures are  taken  to  check  it  in  its  earliest  stages.  I  have 
presented  my  views  on  this  matter  so  recently  that  it  is 
needless  to  repeat  them  here. 

To  the  series  of  tables  marked  from  A  to  Aa  inclusive, 
I  request  your  earnest  attention.  They  were  projected  with 
a  view  to  ascertain  precisely  who  and  what  constituted  the 
largest  share  of  the  recipients  of  the  public  charities  of 
New  York,  and  have  been  carefully  continued  during  the 
space  of  five  years  in  the  confidence  that  a  time  would 
come  when  reliable  statistics  could  be  effectually  used  in 
the  discussion  of  the  questions  arising  from  pauperism  and 
vagrancy;  questions  which  have  agitated  the  public  mind 
from  the  earliest  ages,  and  are,  even  now,  enveloped  in  a 
darkness  which  prevents  us  knowing  airy  thing  more  than 
the  existence  of  a  large  amount  of  poverty  which  common 
humanity  forces  us  to  relieve.    There  would  be  animpor- 


\ 


7 


priety  in  theorizing  now  upon  the  causes  of  this  destitu- 
tion ;  it  is  sufficient  to  draw  }^our  attention  to  some  few  of 
the  facts  evolved. 

The  particulars  of  Table  A  have  been  given  already ; 
but  Table  B  must  not  be  passed  without  notice.  In  1857 
there  were  306  prisoners  fr^m  the  Penitentiary  treated  in 
the  Hospital ;  in  1858  but  56  of  that  class  have  received 
medical  assistance,  and  of  that  reduced  number  28  were 
remaining  in  the  Hospital  at  the  close  of  1857,  and  28 
were  admitted  prior  to  the  resolution  severing  the  Hos 
pital  from  the  Penitentiary.  This  is  one  happy  result  of 
your  action  ;  another  shows  it  in  a  still  more  gratifying 
light  In  1857  there  were  250  patients  from  the  Alms 
House  on  Blackwell's  Island  or  the  Office  of  the  Depart- 
ment in  New  York.  In  1858  this  class  of  inmates  had  in- 
creased to  493.  The  proportion  of  patients  who  did  not 
reach  the  Hospital  through  a  penal  sentence  or  vagrancy 
commitment  was,  in 


1857   7T!)-0  per  cent. 

1858   10-V  "  " 

Increased  ratio  in  1858   2  A   "  " 


Table  C  gives  a  monthly  recapitulation  of  Admissions, 
Deaths,  and  Discharges,  and  requires  no  special  notice. 
Table  D  shows  the-  number  of  days  treatment  devoted  to 


8 


each  class  of  inmates,  and  confirms  the  facts  mentioned  as 
to  the  decrease  of  the  criminal  class.  Passing  to  table  E7 
we  find  the  nativities  of  those  admitted  during  1858  to  be 

Natives  24  A  per  cent. 

Foreigners  75  A  " 

100 

The  relative  proportions  in  the  last  five  years  were 


1854. 

1855. 

1856. 

1857. 

1858. 

Natives, 
Formers, 

23vVp.  ct. 
76 -3-  " 

29TVp.  ct. 
70TV  " 

29A  P.  ct. 
70TV  " 

28T\  p.  ct. 
71TV  " 

24  A  p.  ct. 

100 

100 

100 

100 

100  . 

The  mean  of  five  years  is 

Natives   27  A  per  cent. 

Foreigners   72 A  M 

100 

The  proportion  of  natives  admitted  in  1858  is  therefore 
2A  per  cent,  below  the  average. 

The  proportion  of  natives  of  the  several  States  is  : 

New  York  69 A  Per  cent» 


9 


New  Jersey .  , 
Massachusetts 
Connecticut  .  . 
Pennsylvania 
Maine  , 


4 


lA 


per  cent. 


South  Carolina 


1 


Ohio  

Delaware  

Xew  Hampshire  

2sorth  Carolina  

Vermont  

Maryland  

Rhode  Island  

Georgia  

Missouri  

Indiana  

Virginia  

Illinois  

Louisiana  

Michigan  


The  ratio  of  foreigners  is : 


100 


Ireland  . 
England 


10 


Scotland   3  T%  per  cent. 

Canada  j  u 

Wales  J 

Total  from  British  Dominions   91T8F  per  cent. 

Germany   6T\  per  cent. 

France   T%  " 

Other  European  Nations. ..  .      T6ff  " 

Total  from  Continental  Europe   7  r75  per  cent. 

Other  countries,  at  sea  and  unascertained  .      T\  " 

100 

In  immediate  connection  with  the  subject  of  nativities, 
is  the  length  of  time  foreign  born  patients  have  resided  in 
the  United  States.  The  following  results  are  exhibited  bj 
Table  F : 


Eesided  under  five  years   19  tV  per  cent 

"      from  5  years  to  10  years   31T\ 

"  10    "        15    M      ....  23T5o 

"  15    "        20    "      ....  14T8T 

"        u  20    "    and  upwards   10TV 

Length  of  residence  unascertained.  ...  T\ 


100 


11 

A  comparison  of  the  results  of  five  years'  observations  is 
as  follows : 


LENGTH  OF  RESIDENCE. 

1854 

1855 

1856 

1857 

1858 

Under  5  years  

21T\ 

24T\ 

88* 

17A 

19- 

"  0 

From  5  yrs.  to  10  yrs. 

24A 

28^ 

33  ft 

32  A 

31- 

8 

0 

u  iQ   ii      15  u 

19T\ 

20A 

19ft 

23 

23- 

5 

0 

"  15   11      20  " 

13A 

ISA 

14ft 

loA 

14- 

8 

0 

20  yrs.  and  upwards 

ll-3- 

AX  1  0 

9  To 

lift 

10- 

i"o 

Unascertained  

§A 

1  To 

To 

8 
1  0 

l 

0 

100 

100 

100 

100 

100 

Table  G  shows  the  rges  of  patients  admitted  during  '58. 

16  years  and  under   3 A  per  cent. 

17  "     to  20  years   24  A  " 

21  "      "25    u   26A  w 

26  u      h  30    <•    19A  <; 

31  "      "40    "    12A  " 

41    H      "50    "    7A     "  • 

51    "    and  upwards   6  A  " 

Unascertained   A  " 

100 

This  table  shows  but  very  little  decrease  in  juvenile  de- 
pravity. In  my  report  for  1857  I  stated  as  the  mean  re- 
salt  of  four  years'  inquiries  that  74A  Per  cent,  of  the 
patients  admitted  to  this  hospital  were  under  thirty  years 
of  age,  and  the  experience  of  the  year  just  closed  verifies 


12 


that  remark,  the  number  received  nnder  thirty  years  of  age 
forming  74TV  per  cent,  of  the  aggregate.  While  the  rising 
generation,  those  who  have  not  yet  reached  the  meridian 
of  life,  are  the  victims  of  dissipation  and  disease  to  such  an 
extent,  can  it  be  any  matter  of  surprise  that  your  Alms 
Houses  are  crowded  with  the  prematurely  aged  and  de- 
crepid  ? 

Table  H  shows  the  degree  of  education  of  each  patient 
admitted. 

Can  read  and  write  well   5T3o  per  cent. 

"      "  "    imperfectly   25TV 

l!      "  only   36TV 

Uneducated   32  T\  " 

Unascertained   Jf  u 

100 

The  importance  of  the  subject  of  EducationT  and  the 
evident  connection  between  ignorance  and  juvenile  de- 
pravity, will  warrant  the  introduction  of  the  following 
summary  of  my  observations  during  the  last  five  years  : 


EDUCATION. 

1851 

1355 

1856 

18-Y7 

1858 

Read  and  write  well 

HA 

13T5o 

ISA 

7_3_ 
'   1  0 

5fV 

Do.  do.  imperfectly 

o07\ 

31  To 

2oT% 

36TV 

Uneducated  

33 

27 

Unascertained  

1 

1t2o- 

7 

r. 

1  0 

T 

1  0 

100 

100 

100 

100 

100 

13 


Table  K  gives  the  civil  condition  of  each  patient. 

Single   59 TV  per  cent. 

Married   19T»¥  " 

Widowed   20T*¥ 

Unascertained    TV  " 


100 


Table  L  is  a  continuation  of  the  same  subject,  giving  the 
age  of  each  patient  in  connection  with  the  civil  condition. 
Thus  the  ratio  of  those  who  are  married  is: 

16  years  and  under   2  T\  per  cent. 

17  "  H     to  20  years   21  " 

21    "     "25    "    18T%  « 

26    41     11  30     u    15Tv  M 

31    l<     "40    M    25T\  u 

41    "     "  50    "                         8T\  " 

51    11     and  upwards                     9T%  11 


100 


The  ratio  of  widowed  patients  is: 

16  years  and  under   /¥  per  cent. 

17  "     to  20  years   18xs¥  " 

21    "     "  25     "    13Tv  u 

26    M     11  30    u    22  " 

31    "     "40    "    14TV  11 


14 


41  years  to  50  years   18  T%-  per  cent. 

51    u     and  upwards   12T8o  " 

100 

The  facts  of  juvenile  depravity  and  ignorance  already 
exhibited  are  fitting  preludes  to  the  statements  of  intem- 
perance developed  by  Table  M,  which  shows  the  habits  of 
patients  admitted  during  1858  in  the  following  proportions : 

Temperate  

Moderate  Drinkers  . 

Intemperate  

Habitual  Drunkards 
Unascertained  

100 

Eighty-five  of  every  one  hundred  persons  confess  the  use 
of  intoxicating  drinks  in  a  greater  or  less  degree !  Sixty- 
one  in  every  one  hundred  admit  they  are  intemperate 
drinkers,  or  habitual  drunkards  ! 

Table  N  gives  the  social  habits  of  patients  in  conjunc- 
tion with  their  ages.  In  other  words,  it  is  a  further  expo- 
sition of  juvenile  depravity.  Of  the  628  Temperate  per- 
sons, there  were 


15TV  per  cent. 
23TV  " 
39  A  « 
21-°-  " 

1  0 


16  years  and  under 


13fV  per  cent. 


17  years  to  20  years   23T6o  per  cent. 

21    "     "  25     "    18T2o  " 

26    11     "  30    11    16T9„ 

31    11     "  40    "    14 

41    11     "  50    "    8TV  41 

51    "     and  upwards   5TS„  1 

100 

Of  972  Moderate  Drinkers,  there  were 

16  years  and  under   3  percent. 

17  "     to  20  years   34Tv  " 

21    14     "25    "    26W  11 

26    11     "30    "    16T%  " 

31    «     "  40    "    8/¥  " 


41    11     "50    "    7 


i . 


51    "     and  upwards  '. .    3T2„  *' 

100 

Of  1,629  Intemperate  Drinkers,  there  were 

16  years  and  under   1T^  per  cent. 

17  "     to  20  years   19  T% 

91     11      "  9^     u  97j>  " 

26    "     "30    "    26^  M 

31    "     "40    "   *.....  12TV  u 

41    "     "50    "    7TV  11 

51    "     and  upwards   5T9-0  " 


100 


16 


Of  898  Habitual  Drunkards,  there  were 


16  years  and  under   1T\  per  cent. 

17  "     to  20  years   23T4¥ 

21  "     "25     "    30T6o  " 

26  «     "30    "    12Tv  u 

31  "     "40    "    UT%  " 

41  f     "50    "    6T\  M 

51  "     and  up  wards   lOyV  " 


100 


I  will  take  the  same  facts  from  another  point  of  view,  and 
exhibit  the  social  habits  of  patients  under  thirty  years  of 
age.  They  amounted  in  number  to  3,070,  and  the  propor- 
tions are  as  follows : 

Temperate  

Moderate  Drinkers  . 

Intemperate  , 

Habitual  drunkards 

100 


14  Tv  per  cent. 
25A  " 
39TV  « 
19  T\  " 


Table  O  shows  the  social  habits  and  education  of  each 
patient  in  conjunction.  It  will  be  necessary  to  analyze 
the  columns  separately.  Commencing  with  those  who 
can  read  and  write  well,  it  appears  there  were 


17 

Temperate   50  rV  per  cent. 

Moderate  Drinkers   19T2F  " 

Intemperate   17T8o  " 

Habitual  Drunkards   12^  " 

100 

Of  those  who  can  read  and  write  imperfectly,  there  were 

Temperate   16 T%  per  cent. 

Moderate  Drinkers   21  T\  " 

Intemperate   37T%-  " 

Habitual  Drunkards   23T6„  " 

100 

Of  those  who  can  read  only,  there  were 

Temperate   3     per  cent. 

Moderate  Drinkers   31T6o  " 

Intemperate   43  Tss  " 

Habitual  Drunkards   21  T%  " 

100 

Of  those  entirely  uneducated,  there  were 

Temperate   22     per  cent. 

Moderate  Drinkers   16  to  " 

Intemperate   40TV  " 

Habitual  Drunkards   21T\  " 

100 

2 


18 


In  the  next  table  (P)  is  exhibited  the  parental  examples 
to  which  patients  were  exposed,  and  which  unquestiona- 
bly influenced  their  subsequent  career.  From  the  volun- 
tary admissions  of  the  children,  we  learn  that  of  their 
parents  there  were 


Temperate   25     per  cent. 

Moderate  Drinkers   36  T\  " 

Intemperate   21T6o  " 

Habitual  Drunkards   9  " 

Of  unascertained  habits   8TV  " 


100 

Table  Q  continues  the  subject,  and  shows  the  effect  of 
parental  influences  as  follows.  Of  the  children  of  temper- 
ate parents,  there  were 

Temperate  

Moderate  Drinkers  . 

Intemperate  

Habitual  Drunkards 


100 

Of  the  children  of  Moderate  Drinkers,  there  were 

Temperate   9TV  per  cent. 

Moderate  Drinkers   29  " 


30T8o  per  cent. 

27T\  " 
16TV  " 


19 


Intemperate   41  T\  per  cent. 

Habitual  Drunkards   19T4¥  " 

100 

Of  the  children  of  Intemperate  parents,  there  were 

Temperate   7T6o  per  cent. 

Moderate  Drinkers   19T5o  " 

Intemperate   ^ to  " 

Habitual  Drunkards   25T7¥  " 

100 

Of  the  children  of  Habitual  Drunkards,  there  were 

Temperate   13T4o  Per  cent. 

Moderate  Drinkers   8T6o  " 

Intemperate   52  " 

Habitual  Drunkards   26  " 

100 

Of  the  children  of  parents  whose  habits  were  unascer- 
tained, there  were 

Temperate   13     per  cent. 

Moderate  Drinkers   20 T\  " 

Intemperate   32  T\  " 

Habitual  Drunkards   32TV  " 

Unascertained  Habits   1T2„  " 


100 


20 

Table  K  gives  the  profession  of  Keligion,  as  stated  by 
the  patients  admitted  during  1858.     The  per  centages  are 

Protestants   32T\  per  cent. 

Eoman  Catholics   62 T\  :l 

Jews   T%  " 

Non-Professors   4 

Unascertained  , 


0 

To 


100 


Table  T.    The  occupations  of  patients  are  as  follows : 

Kequiring  mental  ability   T%  per  cent. 

"       mechanical  or  trade  knowledge.  30T7o  " 

u       physical  strength  merely   68  T%  " 

Unascertained   , .      TV  w 


100 


Of  the  inmates,  there 

Worked  until  committed   23    per  cent. 

Have  been  idle  for  3  months   16TV  11 


from 


6 


1  year   . 

1  "  to  2  years 

2  "  "  4  " 

7    "  "  10  " 


14-'- 

9A 
10rV 

7 

4-5- 
Q  9 


21 


Have  been  idle  over  ten  years  .......  T9o  per  cent. 

"      "   an  unascertained  time   TV  " 

100 

Table  U.  The  number  of  times  each  patient  has  been 
an  inmate  of  the  Island  Hospital. 

1st  time  of  Admission    52 TV  per  cent 

2nd    "               "    16T\  " 

3rd    «               "    7T9o  44 

4th    "               "    6TV  44 

5th    "               "    4T\  « 

6th    "               «    4TV  44 

7th    "               u    2T%  44 

8th    "               M    1  5  " 


1  0 


u 


1  0 


9th    44  "   

10th    «               "    TV  " 

11th    "               «    TV  " 

12th    44               44    r\  " 

Over  12  times   2T9¥  " 

Unascertained   T\  " 

100 

Table  V  shows  the  duration  of  treatment  in  the  case  of 
each  patient  discharged  during  1858. 

5  days  and  under   10T5„  per  cent. 

6  "  to  10  days  


_7_  u 
1  o 


22 


11  days  to  20  days   10TV  per  cent. 

21     "    "30   "    11TV  " 

1  month  to  2  months   18T3„  " 

2  "     "  3      "    UT%  " 

3  u     "  4      "    12TV  " 

4  "     "  and  upwards   11T4T  " 

Helpers  and  improper  subjects   1T\  " 

100 

Table  "W  gives  the  result  of  Treatment  as  follows  : 

Cured   75  T\  per  cent. 

Believed   19T\  11 

Not  Relieved   TV  a 

Died   2TV  u 

Transferred  ) 

>     l-2-  " 
Helpers  and  improper  subjects  )  10 

100 

Calculating  the  result  upon  the  whole  number  under 
treatment,  the  proportions  are 

Cured   69  T\  per  cent. 

Relieved   18TV  " 

Not  Relieved   TV  " 


Died....   2TV  " 

Transferred  

Helpers  and  improper  subjects  . 
Remaining  in  Hospital  

100 


3_  U 
I  0 


23 


The  ratio  of  mortality  (2T4o  per  cent.)  given  in  this  table 

does  not  present  a  fair  statement,  as  several  deaths  are  not 
fairly  chargeable  to  the  institution. 

From  the  total  number  of  deaths  as  reported  . .  113 
must  be  deducted 

Coroners'  Cases   6 

Pneumonia,  died  12  hours  after  admission  . .  1 

Erysipelas,     "   15     "      "          "    1 

Hypertrophy  of  Heart,  died  60  hours  after  ad- 
mission   1 

Valvular  Disease  of  Heart,  died  48  hours  after 

admission   1 

Pneumonia,                      "  14     "      "  1 

Ascites,                           "     6-  'M      "  1 

Phthisis  Pulmonalis,           "  70     "      "  1 

Phthisis  Pulmonalis,           "  42     "       "  1 


14 

Number  of  deaths  legitimately  accruing  in  Hospi- 
tal practice   —  99 

Net  ratio  of  mortality  on  patients  under  treat- 
ment   2TV  per  cent. 

More  than  one  third  of  the  cases  which  resulted  fatally 
were  Consumption,  and  the  general  class  of  diseases  thus 
terminating  may  be  perceived  by  table  X,  which  gives  the 
time  each  patient  who  died  was  under  treatment,  as  fol- 
lows : 


24 


5  days  and  under   33  Tv  per  cent. 

6  "    to  10  days   8T8T  « 

11    "    "  20    "    15TV  " 

21    "    "30    "    llT5o  " 


Under  treatment  less  than  1  month  .  69  TV  " 

1  month  to  2  months   14r2„  " 

2  u     "  3     »    5T\  " 

3  "     "4     "    4TV  " 

4  "  and  upward    7 

100 

The  ratio  of  mortality  for  the  last  six  years  is  as  fol- 
lows : 

1853    3T5o  per  cent. 

1854   ST\  11 

1855    2T\  11 

1856    lT%  « 

1857    2TV  " 

1858   *   2TV  " 

Mean  ratio  for  six  years    2T\  " 

Ratio  in  1858    2T\  11 

Reduction  in  1858    T4¥  " 


Table  Y  is  a  continuation  of  the  mortality  statistics,  and 
shows  at  wrhat  hour  in  the  day  or  night  death  occurred. 
It  will  be  observed  that  the  preponderance  is  in  the  early 


25 


hours  of  the  morning.  I  have  noted  these  facts  during 
the  last  four  years  with  the  following  results : 


YEARS. 

FORENOON. 

AFTERNOON 

TOTAL. 

1855 

41 

25 

66 

1856 

23 

15 

38 

1857 

41 

S3 

74 

1858 

79 

34 

113 

184 

107 

291 

The  proportions  are  : 

Died  from  1  A.  M.  to  12  M   63  T\  per  cent. 

"  12  M.  to  midnight   36TV  " 

100 

Table  Z  is  a  condensed  statement  of  the  net  current  ex- 
penses of  the  hospital  during  1858.  Of  course  the  large 
outlay  rendered  necessary  by  the  fire  does  not  appear. 
My  endeavor  has  been  so  to  arrange  the  accounts  as  to 
introduce  in  this  statement  nothing  which  belongs  to  the 
expenditure  for  replacing  destroyed  furniture,  etc. :  but  to 
allow  a  reasonable  per  centage  for  depreciation  of  wearing 
apparel,  bedding  and  utensils,  as  calculated  from  the  ex- 
perience of  former  years. 

Table  Aa  shows  the  amount  of  bills  rendered  during 
the  year  to  the  Commissioners  of  Emigration  for  the  Medi- 


26 


cal  attendance  and  Board  of  patients  chargeable  to  the 
Emigration  fund. 

I  am  unable  to  present  any  Meteorological  tables,  the 
Observatory  and  records  having  been  destroyed. 

SMALL  POX  HOSPITAL. 

The  tables  marked  from  A  to  E  inclusive  give  the 
record  of  the  year's  medical  business  in  this  institution. 
The  aggregate  number  of  patients  treated  was  243,  an  in- 
crease of  35  (16T8o  per  cent.)  on  the  number  treated  in 
1857.  The  ratio  of  mortality  is  slightly  in  advance  of 
last  year,  but  still  less  than  the  average  of  five  preceding 
years.  In  1858  it  amounted  to  13T5o  per  cent.,  and  in  the 
five  years  from  1853  to  1857  it  averaged  17TV  per  cent. 
This  gratifying  result  must  be  partly  attributed  to  the 
superior  accommodations  provided  in  the  Hospital  build- 
ing. It  is  matter  of  regret  that  its  advantages  are  not 
more  widely  understood,  and  I  have  little  doubt  that  if 
such  were  the  case  there  would  be  a  large  decrease  in  the 
number  of  persons  who  die  of  Small  Pox  in  the  city  of 
New  York. 

ALMS  HOUSE. 

The  tables  A,  B  and  C  give  the  history  of  the  Medical 
business  and  a  statement  of  the  mortality  during  the  year. 
The  total  number  of  deaths  was  393,  or  4  per  cent,  upon 


27 


the  number  treated.  Table  B  gives  a  summary  of  the 
mortality,  and  shows  that  41  patients  who  died  here  were 
transferred  direct  from  Bellevue  Hospital.  This  is  about 
10^  per  cent.,  being  a  decrease  upon  the  number  transfer- 
red in  1857,  but  yet  much  too  large  for  the  best  interests 
of  the  Alms  House.  The  over-crowded  condition  of  the 
Alms  House  largely  contributes  to  the  sickness  prevalent 
in  this  department. 

WORK  HOUSE. 

The  table  shows  the  amount  of  sickness  and  mortality 
in  this  department,  the  latter  being  only  1T\  per  cent. 
It  must  be  remembered  that  all  serious  cases  of  disease 
are  transferred  to  the  Island  Hospital. 

PENITENTIARY. 

The  sickness  and  mortality  in  the  Penitentiary  is  shown 
in  the  table.  The  description  of  prisoners  sentenced  to 
that  institution  is  such  that  only  a  small  amount  of  mor- 
tality must  be  expected,  yet  still  the  very  low  ratio  (0TV 
per  cent.)  is  a  circumstance  very  gratifying  to  all  connected 
with  the  department. 

AGGREGATE  STATEMENT. 

The  last  table  in  the  series  is  an  aggregate  statement  of 
the  year's  proceedings,  and  I  beg  to  call  your  attention  to 


28 


the  fact  that  nearly  twenty-three  thousand  cases  of  disease 
have  been  treated  in  the  medical  department  under  my 
charge  during  the  last  year.  It  must  be  a  pleasurable 
thought  to  you  that  so  much  sickness  and  misery  finds  its 
relief  through  your  agency. 

The  gentlemen  on  my  medical  staff  during  the  last 
year,  Doctors  Greenlee,  O'Neil,  Cooper,  Van  Wagner,  Cox, 
Ware,  Neff,  Gallagher,  Smith,  Hodgman,  Peugnet,  Fox, 
Brisbane,  Merchant,  and  Malone,  have  performed  their 
duties  in  a  manner  satisfactory  to  me  and  creditable  to 
themselves,  and  I  gladly  avail  myself  of  this  opportunity 
to  tender  them  my  acknowledgments.  By  virtue  of  a 
resolution  of  your  Honorable  Board  authorizing  me  to 
nominate  a  Senior  Assistant  or  Deputy  Resident  Physician, 
I  have  appointed  Dr.  C.  W.  Packard  to  that  position,  the 
duties  thereof  commencing  this  day.  From  his  medical 
skill,  and  the  experience  he  has  acquired  in  the  Hospitals 
under  my  charge  and  also  in  the  Lunatic  Asylum,  I  hope 
to  find  him  a  valuable  assistant  in  the  task  of  carrying  out 
your  wishes. 

The  Apothecary,  Mr.  John  Atkinson,  continues  to  per- 
form his  duties  in  the  satisfactory  manner  I  have  men- 
tioned in  former  years,  and  merits  a  renewal  of  my  com- 
mendations. 

The  varied  duties  devolving  upon  the  Steward  of  the 


29 


Hospital  have  been  performed  by  Mr.  B.  B.  Sibell,  with 
his  accustomed  assiduity  and  integrity.  I  am  happy  to 
repeat  my  former  remarks  as  to  his  peculiar  fitness  for  the 
position  he  occupies. 

The  Clerk  of  the  Hospital,  Mr.  S.  G.  Butler,  has  given 
me  every  satisfaction  by  his  manner  of  performing  his 
duties. 

I  cannot  forbear  expressing  my  sincere  acknowledg- 
ments to  all  my  officers,  medical  and  non-medical,  for  the 
energy  displayed  on  the  morning  the  Hospital  was  burned. 
To  their  promptitude  I  attribute  the  saving  of  the  lives 
endangered  on  that  occasion. 

For  your  many  kindnesses  to  myself  during  the  year, 
and  for  the  interest  evinced  in  the  institutions  under  my 
charge,  be  pleased  to  accept  my  cordial  acknowledgments. 
I  am,  Gentlemen, 

Yours  respectfully, 

WM.  W.  SANGEE, 

Resident  Physician, 

BlachweWs  Island. 


30 


Island  Hospital,  Blackwell's  Island, 

January  1,  1859. 

COMPARATIVE  STATEMENT 


Of  the  Diseases  treated  in  t/ie  Island  Hospital,  BlackwelPs 
Island,  during  the  years  1857  and  1858,  showing  the 
Increase  or  Decrease  in  the  latter  year. 


DISEASES. 

Treated 
in  1857. 

Treated 
in  1858. 

Increase 
in  1858. 

Decrease 
in  1858. 

3 
36 

2 
15 

9 

7 
43 

4 

7 

2 

19 

12 
4 

74 
2 
3 
5 
5 
1 
6 
9 

58 
1 

"121 
338 
9 
6 
13 

4 
3 
4 
33 

41 

2 

3 
1 

2 

4 
3 
1 

5 
6 
32 

1 

3 
26 
1 

48 
115 
3 

Brain,  Inflammation  of  

73 
233 
6 
6 
8 

Buboes  

Burns  

Carbuncle  

Caries  

5 

31 


DISEASES. 


Cervix  Uteri,  Hypertrophy  of 
"  Inflammation  oi 

"  "  Induration  of. . 
"  **  Induration  and 
Ulceration  of 
"        "        Ulceration  of. 

Cholera  Infantum  

Cholera  Morbus  

Chorea   

Colic  

Cond}7lomata  

Conjunctivitis  

Constipation  

Convulsions  

Corneitis  

Coroners'  cases   

Coup  de  Soliel  

Croup  

Cystitis  

Debauch   

Debility  

Delirium  Tremens  

Diarrhoea    

Dysentery  

Eczema  

Endocarditis  

Enteritis . .  

Erysipelas  

Epididymitis  

Epilepsy  

Fever,  Chagres  

Intermittent  

Puerperal  

"  Remittent  

Typhoid  

Typhus  

Fistula  in  Ano  


Treated 
in  1857. 


39 
36 
34 

27 
166 


2 
2 
1 
44 
29 
13 


2 
58 
22 
22 
89 
26 

5 


1 
17 

1 
16 

1 
71 


Treated 
in  1858. 


53 
64 
27 

30 
218 
4 
1 
1 


73 
34 
15 
1 
4 
6 


1 


976 
15 
305 
116 
30 
8 
1 
2 
25 


22 


85 
2 
6 
3 


Increase 
,in  1858 


14 

28 


3 
52 
4 
5 


29 
5 
2 
1 
1 
4 


1 

918 

283 
27 
4 
3 
1 
1 


14 

2 


32 


DISEASES. 


Fistula-Recto-Vaginal 


Fracture   

Frost  Bite  

Furuncles  .... 

Gastritis  

Gonorrhoea  .  .  . 
Granular  Lids 

Cornea  

Hemiplegia 
Hemorrhage . . . 
"  Uterine 


and  Vascular 


"  from  Syphilitic  Ulcera- 
tion   

Hemoptysis  

Heart,  Fatty  degeneration  of. 

"      Hypertrophy  of.  

"      Valvular  Disease  of. . 

Hepatitis   

Hernia   

Herpes   

Hemorrhoids  

Hysteria  

Icterus  

Impetigo  

Injuries  r 

Iritis  

Kidneys,  Fatty  degeneration  of 

Leucorrhcea  

Liver,  Cirrhosis  of  

"      Fatty  degeneration  of. . 

Marasmus  

Meningitis  

Menorrhagia  

Necrosis   

Nephritis  

Neuralgia  

(Edema  


Treated 
in  1857. 


6 
13 
10 

4 

8 

162 


6 
7 
1 

26 
2 

62 
2 
5 
3 

115 
49 


12 
1 

9 


6 
7 
1 
12 


Treated 
in  1858. 


6 
18 

14 

28 
9 

221 

7 
1 


2 
1 
4 
14 

2 
34 
9 
83 
1 
5 
6 

138 
58 
2 
36 
2 


2 
6 
15 
9 
3 
11 
12 


Increase 
in  1358. 


5 
4 
24 
1 

59 


1 
1 

h 
i 

8 
7 
21 


3 
23 

9 

2 
24 

1 


33 


DISEASES. 


Treated 
in  1857. 


Opthalmia   

Orchitis  

Otorrhoea  

Otitis  

Paralysis   

Paronychia  

Parturition  

Pericarditis   

Periostitis  

Peritonitis  

Fhagadcenic  Chancre 
Phthisis  Pulmonalis. 
Phymosis,  Congenital 

Pleurodynia  

Pleuritis  

Pneumonia  

Pleuro  .... 
Typhoid... 

Porrigo  Favosa  

Prolapsus  Uteri  , 

Psoriasis  

Purpura  

Ptyalism  

Rheumatism  , 

Roseola  

Rubeola  

Rupia  

Scabies  

Scarlatina  

Scrofula  

Senectus   

Spermatorrhoea  

Stricture  of  Urethra.. 

Synovitis  

Syphilis,  Primary  

"     Secondary. .  . 

"  Tertiary  


17 
27 
1 
2 

19 
13 

33 
3 
2 

1 

44 
159 
4 


61 
IT 
1 


5 
19 
17 


o 

219 


1 

33 
14 
1 
8 
2 
1 
25 

It 
I 

882 
352 
74 


Treated 
in  1S58. 


19 
31 


24 
16 
19 
4 

5 


58 
239 
8 
17 
82 
46 
1 
2 
7 
99 


10 


280 

9 


41 
19 


11 


28 
7 

1206 
453 
128 


Increa«e 
in  185S. 


14 

tO 
4 


21 

29 


61 

9 


324 
101 
54 


Decrease 
in  1S5S. 


14 


34 


DISEASES. 

Treated 

Treated 

Increase 

in  1S57. 

in  1858. 

in  1858. 

83 

140 

56 

6 

18 

12 

242 

301 

59 

Urine,  Incontinence  of.  

6 

7 

1 

"     Retention  of  

5 

3 

105 

138 

33 

Totals  

2811 

96 

2715 

Decrease 
in  1858. 


96 


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B. 

Small  Pox  Hospital,  B.  L. 

January  1,  1859. 


STATEMENT  OF  THE  PLACE  OF  NATIVITY  AND  AGE  OF  EACH 
PATIENT  UNDER  TREATMENT  IN  1858. 


r 

1  year  to 
f>  years. 

6  years  to 
10  years. 

1  1  years  to 
20  years. 

n 

S3  03 
03  03 
>. 

o 

CO  00 
33  ~ 

33  cc 
^  >. 

o 

-  od 
i  x 
^» 

—  c 

BQ  DC 

— 

< 

EH 

97 
5 

•  5 
3 
2 
2 
2 

46 
49 
9 
7 
3 
2 
1 
1 
1 

243 

Natives — 
New  York .... 

3 

22 

4 

26 
1 

24 

3 
3 
2 

1 

2 

12 
1 
1 

4 

2 

Massachusetts. . 

1 



1 
1 
1 

New  Hampshire 

1 

Carolina.  North 
"  South 
Delaware  

1 

1 
1 

Ohio  

1 

Rhode  Island 

1 

Vermont. .  ..... 

1 

1 
i 

27 
23 
6 
2 
1 
1 

Foreigners — 

1 

1 

14 
12 
2 
2 
1 
1 
1 

3 
8 
1 
2 
1 

Germany  

5 

1 

England  

West  Indies 

1 

Scotland  

:  • 

1 
1 

Total  

5 

2-1 

4 

64 

102 

31 

9 

4 

64 


c. 

Small  Pox  Hospital,  B.  L, 

January  1,  1859. 

STATEMENT   OF   THE    DISEASED    CAUSING   THE    DEATH  OF 
PATIENTS  DURING  1858. 

Confluent  Small  Pox   28 

Distinct  Small  Pox   5 

Delirium  Tremens   2 

Abscess  ,   1 

Cholera  Infantum   1 

Coroner's  Case   1 

Pneumonia   1 

Scrofula   1 

Total   40 

Ratio  of  Mortality  from  Small  Pox  in  1858, 13^  per  cent. 


Ratio  of  Mortality  in  1857 
"     '  1856 
1855 
1854 
1853 


12  •  per  cent. 

18ft  " 

ISA  " 

23  fV  " 


Mean  ratio  of  Mortality  for  five  years 

(1853-1858)   17fV  per  cent. 

Ratio  of  Mortality  in  1858   13ft 

Decrease  in  ratio  1858  4 


65 


D. 

Small  Pox  Hospital,  B.  I., 

January  1,  1859. 

STATEMENT  OF  THE  AGES  OF  PATIENTS  WHO  DIED  DURING 


1858. 

1  year  and  under   2 

1    "    to  5  years   6 

6    "     "  10  "    0 

11    "     "  20  "    7 

21    "     "  30  "    16 

31    "     "  40  "    7 

60    "    and  upwards   2 

Total  '   40 


E. 

Small  Pox  Hospital,  B.  I., 

January  1,  1859. 

STATEMENT  OF  THE  TIME  THAT  PATIENTS  WHO  DIED  IN  1858 
WERE  UNDER  TREATMENT. 


From  12  hours  to  3  days   8 

3  days  to  6    "    11 

7     "     "  14  "    13 

"    14     "     "  21  "    4 

"    21     "     "  28  "    3 

1  month  to  2  months   1 

Total   40 

5 


66 


Island  Hospital  Office,  B.  I., 

January  1,  1859. 

STATEMENT 

OF  THE 

DISEASES  TREATED, 

WITH  THE  MORTALITY,  IN  THE   ALMS  HOUSE,  BLACKWELL's  ISLAND, 
DURING  THE  YEAR  ENDING  DECEMBER  31,  1858. 


DISEASES. 


Abscess  

Adenitis  

Albuminuria  

Amaurosis   

Amenorrhea  a  

Anaemia  

Anasarca  

Apoplexy  

Aptlise  

Ascites  

Asthma  

Balanitis  

Brain,  Congestion  of 
"  Inflammation  of 
Bronchitis,  Chronic  . 

Burns  

Cancer  

Carbuncle  

Caries  

Cholera  Infantum. . . 


172 
44 

5 
15 
38 

9 
11 

4 
22 
20 
14 
37 
2 
7 

834 
35 
4 
2 
1 

115 


11 


Cholera  Morbus 

Chorea  

Conjunctivitis  

Convulsions  

Coroner's  Cases 

Croup  , 

Cystitis  

Debauch  , 

Debility  

Delirium  Tremens.. , 

Diarrhoea  

Dysentery  , 

Dysmenorrhea  .... 

Dyspepsia  

Eczema  

Emphysema  

Enteritis  , 

Epilepsy  

Erysipelas  

Fever,  Intermittent 


231 
7 

441 

25 


10 
7 
63 
324 
41 
1785 
196 
2 
4 

195 
12 
16 
42 

48 
392 


3 
15 


18 
2 

40 
1 


67 


DISEASES. 


Fever,  Remittent  . . 
"  Typhoid 

Fistula   

Fracture   

Furuncles  

Gastritis  

Gr angular  Lids  and 
Vascular  Cornea  . 

Heart,  Hypertrophy 
of  

Heart,  Valvular  dis- 
ease of  

Hematemesis  

Hemiplegia  

Hemorrhoids  

Hernia  

Herpes  

Hepatitis  

Hydrocephalus  

Hysteria  

Injuries  

Iritis  

Liver,  Cirrhosis  of. . 

Marasmus  

Meningitis  

Menorrhagia  

Necrosis  

Nephritis  

Neuralgia  

Odontalgia  

Opthalmia  

Orchitis  

Otitis  

Paralysis  


4 
4 

5 
1 
6 
18 

25 

11 

37 
4 

11 
115 

61 

50 
6 

13 
3 

113 
111 
4 

192 
9 

32 
4 
7 

27 
3 

232 
8 
19 
118 


DISEASES. 


2 

o  II 


12 


I  Paronychia  

I  Parotitis  

Pericarditis  

■  Pertussis  

j  Phthisis  Pulmonalis. 

'  Pleuritis  

;  Pleurodynia  

;  Pneumonia  

"  Typhoid. 

Porrigo  Favosa  . .  . . 
'  Prolapsus  Uteri .... 
1  Psoriasis  

Purpura  

1  Rheumatism  

Rubeola  

I  Rupia  

Scabies   

Sciatica  


2 
39 
6 


10  Scorbutus   

Scrofula  

Senectus   

Spermatorrhoea 
Spine,  Pott's  dis'se  of 

Stomatitis  

Stricture  of  Urethra. 

Synovitis  

Syphilis,  Secondary. 
"  Tertiary... 

Tetanus  

Tonsillitis  

Ulcers  

Urine,  Incontinence 

of  

Varicella  


Total  number  of  Deaths  

Ratio  of  mortality  on  cases  treated,  4  per  cent. 


393 


68 
B. 

Island  Hospital  Office,  B.  I., 

January  1,  1859. 

SUMMARY  OF  THE  MORTALITY  AT  THE  ALMS  HOUSE,  BLACK- 
WELL'S  ISLAND,  DURING  THE  YEAR  1858. 


Sex. 


Nativity. 


Age. 


Total  number  of  deaths 


Males. . . 
Females 


Whence  Received. 


Length  of  Residence 
in  Alms  House. 


Natives  .  . . 
Foreigners 


Under  1  year  

1  year  to  5  years 


6 
11 
21 
31 
41 
51 
61 
71 
81 
91 


10 

"  20  "  .. 

"  30  "  .. 

"  40  "  .. 

"  50  »  .. 

60  44  .. 

44  70  »  .. 

44  80  "  .. 

44  90  "  .. 
and  upwards. 


New  York  City.   

Bellevue  Hospital  , 

Institution  on  Blackwell's  Island. 


Under  3  days. 
3  days  to  6 


6  " 

"  10 

10  " 

"  20 

20  " 

14  30 

1  month 

to  2 

2  " 

14  3 

3  " 

"  ! 

4  " 

"  5 

5  44 

44  6 

6  " 

44  7 

7  " 

44  8 

8  " 

"  9 

9  " 

44  10 

10  " 

44  11 

11  " 

44  12 

day 


1  year  and  upwards. 


209 
184 


164 

229 


351 
41 
1 


16 
4 

6 

2 

21 

47 
30 
27 
26 
17 
19 
7 
6 
9 
16 
6 

109 


393 


593 


30 : 


593 


393 


393 


[To  Face  Paob  CS.J 


TABLE  C 

Statement  of  the  Mortality  at  the  Alms  House,  Blackwell's  Island,  during  1858. 


Island  Hospital  Office,  B.  I., 

January  1,  1859. 


DISEASES. 


Albuminuria  

Apoplexy  

Ascites  

Brain,  Congestion  of.  

"     Inflammation  of  

Cancer  

Cholera  Infantum  

Convulsions  

Coroner's  Cases  

Cystitis  

Debility  

Delirium  Tremens  

Diarrhoea  

Dysentery  

Enteritis  

Erysipelas  

Fever,  Typhoid  , 

Heart,  Hypertrophy  of. ... . 

"     Valvular  Disease  of. 

Hydrocephalus  

Liver,  Cirrhosis  of  

Marasmus  

Meningitis  

Paralysis  

Phthisis  Pulmonalis  

Pneumonia  

Typhoid  

Purpura  

Rubeola  

Senectus  

Syphilis,  Tertiary  

Tetanus  

Ulcers  


Totals  . 


209 


184 


2 

106 
50 
2 
5 
1 
37 
2 
1 
1 


393  161 


229 


221 
1 

i 

2116 


72  51 


12  28  23  2410 


4 
2 

414 


3  2122  43  51  6341 1312  351 


218 


611 


WHERE 
FROM 


a  S 


O  jn 
2^ 


pq 


TIME  IN  ALMS  HOUSE. 


) 27  26  1 


1  I 


9  16 


6  109 


69 


Island  Hospital  Office,  B.  I. 

January  1,  1859. 

STATEMENT 

OF  THE 

DISEASES  TREATED, 

WITH  THE  MORTALITY,  IN  THE  PENITENTIARY,  BLACKWELL's  ISLAND, 
DURING   THE  YEAR  ENDING  DECEMBER   31,  1858. 


DISEASES. 


Abortion  

Abscess  

Adenitis  

Amaurosis  

Amenorrhcea  

Apoplexy  

Balanitis  

Brain,  Congestion  of 
Bronchitis,  Chronic. 

Buboes  

Burns  

Cancer  

Carbuncle  

Cholera  Morbus.... 

Conjunctivitis  

Debauch   

Delirium  Tremens.. 

Diarrhoea  

Dysentery  

Eczema  

Enteritis  


3 
41 
9 
4 
8 
1 
13 
2 
39 
13 
3 
4 
2 
41 
60 
5 
2 

104 
13 
7 
1 


DISEASES. 


Epilepsy  

Erysipelas  

Fever  Intermittent. 
Typhoid 

Fractures   

Frost  Bite  

Gastritis  

Gonorrhoea  

Granular  Lids  and 
Vascular  Cornea. 

Heart,  Valvular  Di- 
sease of  

Hemiplegia  

Hemorrhoids  

Hepatitis  

Herpes  

Icterus  

Impetigo  

Injuries  

Iritis   

Meningitis  


1 

4 
65 
1 

17 
3 
11 
103 

1 

1 

2 
37 
1 
5 
6 
1 

176 
5 
1 


70 


DISEASES. 


Menorrhagia  

Nephritis  

Neuralgia  

Op  thai  mi  a  

Orchitis  

Otorrhea  a  

Paronychia  

Paraplegia  

Phagadoanio  Chancre 
Phthisis  Pulmonalis. 

Pleuritis  

Pleurodynia,  

Pneumonia  


2 
1 

5 
12 

32 
3 

28 

2 

1 
U 
15 

t 
25 


DISEASES. 


Pyrosis  

Rheumatism  

Scabies   

Scrofula  

Stricture  of  Urethra 

Synovitis  

Syphilis,  Primary.. 
"  Secondary 
"         Tertiary  » 

Syphilitic  Vegetat'ns 

Tonsillitis  

Ulcers   

Urine,  Tncontin'ce  of 


3 
40 
13 

7 
22 

9 

279 

202 
8 
18 
6 

174 

2 


Number  of  Deaths   

Patio  of  Mortality  on  cases  treated  0T4^  per  cent. 


71 


Island  Hospital  Office.  B.  I., 

January  1,  1859. 

STATEMENT 

OF  THE 

DISEASES  TREATED, 

WITH   THE  MORTALITY,  IN   THE   WORK  HOUSE,  BLACKWELL's  ISLAND, 
DURING  THE      FAR  ENDING  DECEMBER  31,  1858. 


DISEASES. 


Abortion  

Abscess   

Adenitis  

Albuminuria  

Amenorrhcea  

Apoplexy  

Arachnitis ,  

Balanitis  

Brain,  Congestion  of 
Bronchitis,  -Chronic. 

Burns  

Cholera  Infantum.. 
Cholera  Morbus .... 

Chorea  

Conjunctivitis  

Convulsions  

Corneitis  

Coroner's  Cases 
Debauch   


<U 

H 

1 

43 

25 

1 

1 

39 

6 

3 

1 

1 

16 

1 

1 

143 

4 

4 

108 

1 

36 

2 

2 

2 

15 

871 

DISEASES. 


Debility  

Delirium  Tremens .  . 

Diarrhoea  

Dysentery  

Dysmenorrhea  

Eczema  

Enteritis  

Epilepsy  

Erysipelas  

Fever,  Intermittent 

Fractures   

Gastritis  

Heart,  Hypertrophy 

of  , 

Hemorrhoids  

Hernia  

Herpes  

Impetigo  

Injuries  


14 
241 
316 
54 
2 
25 
6 
21 
1 

66 
o 

69 

2 
124 
20 


140 


72 


DISEASES. 


Iritis  

Laryngitis  

Marasmus  

Meningitis  

Menorrhagia  

Neuralgia  

Opthalmia  

Otorrhea  a  

Paronychia  

Phthisis  Pulmonalis 

Pleuritis  

Pleurodynia  

Pneumonia  


1 

2 
9 
4 

10 

13 
8 
1 

24 
265 

28 
5 

21 


DISEASES. 


Purpura   

Rheumatism,  Chron- 
ic   

Scabies  

Scrofula   

Senectus  

Stricture  of  Urethra 

Stomatitis  

Synovitis  

Tonsillitis  

Ulcers   

Urine,  Incontinence 
of  


384 
12 

3 

3 

2 

4 

3 
29 
247 


Number  of  Deaths  50 

Ratio  of  mortality  on  cases  treated  1  jo  per  cent. 


73 


Island  Hospital  Office,  B.  I., 

January  1,  1859. 

AGGREGATE  STATEMENT 

OF  THE 

DISEASES  TREATED 

[  THE  ISLAND  HOSPITAL,  PENITENTIARY,  ALMS  HOUSE, 
AND  WORK  HOUSE,  BLACKWELL'S  ISLAND,  DURING  THE 
YEAR  1858. 


Diseases. 


Abortion  

Abscess  

Adenitis  

Albuminuria  

Amaurosis  

Amenorrhoea  

Anasarca  

Anaemia  

Anchylosis  

Aneurism  

Apoplexy  

Apthse  

Arachnitis  

Ascites  

Asthma  

Balanitis  

Brain,  Congestion  of. .  . 
"      Inflammation  of. 

Bronchitis  

Buboes   


Island 
Hos- 
pital. 

Peni- 
ten- 
tiary. 

Alms 
House 

Work 
House. 

7 

3 

1 

43 

41 

H2 

43 

19 

9 

44 

25 

12 

5 

1 

4 

4 

15 

74 

.  8 

3b 

39 

11 

2 

2 

3 

5 

5 

1 

4 

6 

22 

1 

1 

6 

20 

9 

14 

58 

13 

O  i 

16 

2 

2 

1 

1 

7 

121 

39* 

834 

143 

338 

13 

11 

299 
97 
18 
23 
159 
11 
4 
3 
5 
16 
22 
2 
26 
23 
124 
5 
8 

1137 
351 


74 


Diseases. 


Burns  

Cancer  

Carbuncle  .. 

Caries  

Cervix  Uteri 


Hypertrophy  of. 
"  "  Inflammation  of. 
"  "  Induration  of.  .  . 
"  *  "  Induration  and 
Ulceration  of. 
"        "      Ulceration  of.  . . 

Cholera  Infantum  

Cholera  Morbus  

Chorea  

Condylomata  

Conjunctivitis  

Constipation  

Convulsions  

Corneitis  

Coroners'  Cases  

Croup   

Cystitis  

Debauch  

Debility  ,  

Delirium  Tremens  

Diarrhoea  

Dysentery  

Dysmenorrhea  

Dyspepsia  

Eczema  

Emphysema  

Endocarditis  

Enteritis  

Erysipelas  

Epilepsy  

Fever,  Intermittent  

"  Puerperal  

"  Remittent  


Island  Peni- 
Hos  ten- 
pital.  tiary. 


6 
13 

53 
64 
27 

30 

4 
7 
1 
73 
34 
15 
1 
4 
6 
1 


976 
15 
305 
116 
30 


25 
22 
85 
2 
6 


41 


Alms 
House 


2 

104 
13 


4 
1 

65 


115 
231 
7 


Work 
House. 


25 


15 
10 
7 
63 
324 
41 
1785 
196 
2 
4 

195 
12 


16 

48 
42 
392 


4 

108 
1 


60     441  36 


2 
2 
15 


877 
14 
241 
316 
54 
2 


25 


6 
1 
21 

66 


75 


Diseases. 


Island 
Hos- 
pital. 


Fever,  Typhoid  

Fistula  in  Ano  

"  Recto-Vaginal  

Fractures   

Frost  Bite  

Furuncles  

Gastritis  

Gonorrhoea  

Granular  Lids  and  Vasculai 

Cornea   

Hematemesis  

Hemiplegia  

Hemorrhage,  Uterine  

Hemoptysis  

Hemorrhoids  

Heart,  Fatty  Degeneration  of. 

"      Hypertrophy  of  

"      Valvular  Disease  of  .  . . 

Hepatitis  

Hernia  

Herpes  

Hydrocephalus  

Hysteria  

Icterus   

Impetigo  

Injuries  

Iritis  

Kidneys,  Fatty  Degeneration  of 

Laryngitis  

Leucorrheea  

Liver,  Cirrhosis  of  

Marasmus  

Meningitis  

Menorrhagia   

Necrosis  

Nephritis  

Neuralgia  


3 
7 
6 
18 
14 
28 
9 

221 
7 


1 

2 
2 

83 
1 
4 

14 
2 

34 
9 


1 

5 
6 
138 

58 
2 


Peni 
ten- 
tiarv. 


17 

3 

ii 

103 


Alms 
House 


36 
2 
2 

6 
15 
9 
3 
11 


37 


6 
1 

176 

5 


18 


US 


118 
111 


4 

192 

9 
32 
4 


Work 
House. 


69 


124 


20 

8 


8 

140 
1 


9 
4 
10 


13 


76 


Diseases. 


Odontalgia   

(Edema  

Ophthalmia  

Orchitis  

Otitis  

Otorrhcea  

Paralysis  

Paraplegia  

Paronychia  

Parotitis  

Parturition  

Pericarditis  

Periostitis  

Pertussis  

Phagadoenic  Chancre 
Phthisis  Pulmonalis  . 
Phymosis,  Congenita 

Pleurodynia   

Pleuritis  

Pneumonia  

Pleuro  . .  . 

Typhoid  . 

Porrigo  Favosa  

Prolapsus  Uteri  

Psoriasis  

Purpura   

P3rrosis  

Rheumatism  

Roseola  

Rubeola  

Rupia  , 

Scabies  

Sciatica  

Scorbutus   

Scrofula  

Senectns   

Spermatorrhoea  


Island 
Hos- 
pital. 


12 
19 
31 


24 

16 

19 
4 

5 

58 
239 
8 
11 
82 
46 
1 
2 
7 
22 

10 

280 
2 

ii 

19 


11 


Peni 
ten- 
tiary. 


12 

32 


2 
28 


1 

74 

1 

15 

25 


3 
40 


13 


Alms 
House 


3 

2o2 
8 
19 

iis 

79 

9 
1 

72 

737 

"7 
151 

294 

2 
13 
3 
2 

228 

690 

85 
2 
57 
7 
66 
16 
37 
3 


Work 
House. 


24 


265 

5 
28 
21 


3 

384 
12 


77 


Diseases. 


Spine,  Potts'  Disease  of 
Stricture  of  Urethra  .  . . 

Stomatitis   

Synovitis   

Syphilis,  Primary  

"  Secondary 

Tertiary  '  

Syphilitic  Vegetations  . 

Tonsillitis  

Ulcers  

Urine,  Incontinence  of  . , 
"     Retention  of  ... . 

Vaginitis  

Varicella  ,  


Island 
Hos- 
pital. 


28 


7 

1206 
453 
128 
140 
18 
301 
7 
3 

138 


Peni- 
ten- 
tiary. 


9 

279 
292 
8 
18 

5 

174 

9 


Alms 
House 


156 
25 


28 
913 
2 


39 


Work 
House. 


29 
247 

o 
o 


7 

146 
83 
107 
1485 
901 
161 
158 
80 
1635 
14 
3 

138 
39 


I 


Ex  Ctbrtfi 


SEYMOUR  DURST 


"When  you  leave,  please  leave  this  book 

Because  it  has  been  said 
"Sver'thing  comes  t'  him  who  waits 

Except  a  loaned  book." 


STATEMENT  OF  THE  DISEASES  TREATED  AT  THE  ISLAND  HOSPITAL.  BLACKWELLS  ISLAND,  DURING  THE  Y^AR  1858. 


WITH  THK  AGE,  EDUCATION.  AND  PLACE  OF  NATIVITY  UF  EACH  PATIENT  AND  THE  RESULT  AND  DURATION  OF  TREATMENT  IX  EACH  COMPLETE  CASE. 


DISEASES. 

i 

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V 

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i 

1  • 
gl 
& 

PATIENTS    WHO    HAVE    BEEN    UNDER    TREATMENT    DURING  1858 

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When  you  leave,  please  leave  this  book 

Because  it  has  been  said 
"Ever  thing  comes  t'  him  who  waits 

Except  a  loaned  book." 


i 


